| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,885 |
3,118 |
$818K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,057 |
3,109 |
$658K |
| A0425 |
Ground mileage, per statute mile |
11,403 |
7,566 |
$530K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,456 |
1,921 |
$214K |
| A0434 |
Specialty care transport (sct) |
12 |
12 |
$5K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
12 |
12 |
$2K |